CancerCare Manitoba
 
 
 
Treatment Options

 

Your treatment depends on the type of prostatitis you have.

If you have Category I acute bacterial prostatitis you will need to take antibiotics for a minimum of four weeks.
  • Sometimes this means being admitted to hospital and being given intravenous antibiotics.
  • Almost all acute infections can be cured with this treatment.
If you have Category II chronic bacterial prostatitis you will require antibiotics for a longer period of time, usually four to twelve weeks.
  • About 60% of all cases of chronic bacterial prostatitis clear up with this treatment. Patients that have developed chronic bacterial prostatitis and have been cured are susceptible to recurrences (the symptoms recur and antibiotic therapy is required again) and each recurrence may be more difficult to treat than the last.
  • The remaining 40% that have persistence of their infectious problem despite antibiotic use maybe caused by the difficulty antibiotics have in penetrating the prostate gland to completely kill all the bacteria deep within the prostatic ducts. Repetitive or frequent prostate massages may be helpful in these cases.
  • For cases that don't respond to this treatment, long-term antibiotic therapy may be recommended to relieve the symptoms. In some rare cases, surgery on either your urethra or prostate may be recommended. Surgery for chronic bacterial prostatitis should not be taken lightly and a second opinion is advisable.
If you have Category III chronic pelvic pain syndrome (non-bacterial prostatitis or prostatodynia),
  • You may not need antibiotic medication.
  • Frequently, physicians have difficulty trying to decide whether you have bacterial or non-bacterial prostatitis. This is because of the difficulties in obtaining a specimen and, sometimes, previous antibiotic therapy obscures the diagnosis. An organism that responds to antibiotics, but is difficult to diagnose may also cause some cases of non-bacterial prostatitis. For these reasons, antibiotics are usually prescribed, at least initially, even when a definitive diagnosis of bacterial prostatitis has been unsuccessful with the appropriate tests. Your response to the antibiotic therapy will decide whether or not it should be continued.
  • Depending on your symptoms you may receive one of a variety of other treatments.
    • These may consist of alpha-blockers ( drug that can relax the muscle tissue of the prostate and reduce the difficulty in urination),
    • anti-inflammatory drugs,
    • plant extracts (or vitamins)
    • repetitive prostatic massage (to drain the prostate ducts) and
    • various heat therapies
  • Lifestyle changes, biofeedback and relaxation exercises may alleviate some of the symptoms.
  • Unfortunately the treatment for chronic pelvic pain syndrome (Category III) is far from perfect and men with this condition sometimes fail therapy. Patients may find that they have to learn to live with their symptoms while the condition hopefully "burns itself out". The symptoms can be made more tolerable by avoiding aggravating factors such as:
    • bicycle riding
    • long periods of sitting
    • some foods (spicy foods)
    • some drinks (coffee and alcohol)
    • cold exposure
    • as well as stress and anxiety provoking situations